title: Six sequence variants on chromosome 9p21.3 are associated with a positive family history of myocardial infarction: a multicenter registry.
abstract: BACKGROUND
  Recent genome-wide association studies have identified several genetic loci linked to coronary artery disease (CAD) and myocardial infarction (MI). The 9p21.3 locus was verified by numerous replication studies to be the first common locus for CAD and MI. In the present study, we investigated whether six single nucleotide polymorphisms (SNP) rs1333049, rs1333040, rs10757274, rs2383206, rs10757278, and rs2383207 representing the 9p21.3 locus were associated with the incidence of an acute MI in patients with the main focus on the familial aggregation of the disease.
  
  
  METHODS
  The overall cohort consisted of 976 unrelated male patients presenting with an acute coronary syndrome (ACS) with ST-elevated (STEMI) as well as non-ST-elevated myocardial infarction (NSTEMI). Genotyping data of the investigated SNPs were generated and statistically analyzed in comparison to previously published findings of matchable control cohorts.
  
  
  RESULTS
  Statistical evaluation confirmed a highly significant association of all analyzed SNP's with the occurrence of MI (p<0.0001; OR: 1.621-2.039). When only MI patients with a positive family disposition were comprised in the analysis a much stronger association of the accordant risk alleles with incident disease was found with odds ratios up to 2.769.
  
  
  CONCLUSIONS
  The findings in the present study confirmed a strong association of the 9p21.3 locus with MI particularly in patients with a positive family history thereby, emphasizing the pathogenic relevance of this locus as a common genetic cardiovascular risk factor.
authors.affiliation: Institute for Heart and Circulation Research, University of Witten/Herdecke, 44227 Dortmund, Germany. scheffold@herzinfarktforschung.de
authors.forename: Thomas
authors.initials: T
authors.lastname: Scheffold
authors.forename: Silke
authors.initials: S
authors.lastname: Kullmann
authors.forename: Andreas
authors.initials: A
authors.lastname: Huge
authors.forename: Priska
authors.initials: P
authors.lastname: Binner
authors.forename: Hermann R
authors.initials: HR
authors.lastname: Ochs
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Schöls
authors.forename: Joachim
authors.initials: J
authors.lastname: Thale
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Motz
authors.forename: Franz Josef
authors.initials: FJ
authors.lastname: Hegge
authors.forename: Christoph
authors.initials: C
authors.lastname: Stellbrink
authors.forename: Thomas
authors.initials: T
authors.lastname: Dorsel
authors.forename: Hartmut
authors.initials: H
authors.lastname: Gülker
authors.forename: Hubertus
authors.initials: H
authors.lastname: Heuer
authors.forename: Wilfried
authors.initials: W
authors.lastname: Dinh
authors.forename: Monika
authors.initials: M
authors.lastname: Stoll
authors.forename: Georg
authors.initials: G
authors.lastname: Haltern
mesh_terms: D000328:Adult; D000368:Aged; D002899:Chromosomes, Human, Pair 9 / Q000235:genetics*; D014644:Genetic Variation / Q000235:genetics*; D055106:Genome-Wide Association Study / Q000379:methods*; D006239:Haplotypes / Q000235:genetics; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000235:genetics*; D020641:Polymorphism, Single Nucleotide / Q000235:genetics; D012042:Registries; D055815:Young Adult